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Hypoglycemic Agent Screening by LC-MS/MS

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Part of the book series: Methods in Molecular Biology ((MIMB,volume 902))

Abstract

Hypoglycemia is a potentially life-threatening condition that can be caused by a variety of physiological conditions and pharmaceutical agents. Diagnosis of certain conditions, such as insulin-secreting tumors, requires ruling out the use (inadvertent or surreptitious) of drugs capable of inducing hypoglycemia. Many of the therapeutic agents used to treat diabetes mellitus have the ability to lower blood glucose to dangerous concentrations; these include the sulfonylurea, meglitinide, and thiazolidinedione drug classes. The LC-MS/MS assay presented herein provides qualitative or quantitative assessment of the most common of these drugs, for assistance in the differential diagnosis of hypoglycemia.

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References

  1. Virally ML, Guillausseau PJ (1999) Hypoglycemia in adults. Diabetes Metab 25:477–490

    PubMed  CAS  Google Scholar 

  2. Amiel SA, Dixon T, Mann R, Jameson K (2008) Hypoglycaemia in Type 2 diabetes. Diabet Med 25:245–254

    Article  PubMed  CAS  Google Scholar 

  3. Klonoff DC, Barrett BJ, Nolte MS, Cohen RM, Wyderski R (1995) Hypoglycemia following inadvertent and factitious sulfonylurea overdosages. Diabetes Care 18:563–567

    Article  PubMed  CAS  Google Scholar 

  4. Malaisse WJ (2003) Pharmacology of the meglitinide analogs: new treatment options for type 2 diabetes mellitus. Treat Endocrinol 2:401–414

    Article  PubMed  CAS  Google Scholar 

  5. Vlckova V, Cornelius V, Kasliwal R, Wilton L, Shakir SA (2009) Hypoglycaemia with oral antidiabetic drugs: results from prescription-event monitoring cohorts of rosiglitazone, pioglitazone, nateglinide and repaglinide. Drug Saf 32:409–418

    Article  PubMed  CAS  Google Scholar 

  6. Hirshberg B, Libutti SK, Alexander HR, Bartlett DL, Cochran C, Livi A, Chang R, Shawker T, Skarulis MC, Gorden P (2002) Blind distal pancreatectomy for occult insulinoma, an inadvisable procedure. J Am Coll Surg 194:761–764

    Article  PubMed  Google Scholar 

  7. Giurgea I, Ulinski T, Touati G, Sempoux C, Mochel F, Brunelle F, Saudubray JM, Fekete C, de Lonlay P (2005) Factitious hyperinsulinism leading to pancreatectomy: severe forms of Munchausen syndrome by proxy. Pediatrics 116:e145–148

    Article  PubMed  Google Scholar 

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Correspondence to Loralie J. Langman .

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Korman, E.W., Langman, L.J., Snozek, C.L.H. (2012). Hypoglycemic Agent Screening by LC-MS/MS. In: Langman, L., Snozek, C. (eds) LC-MS in Drug Analysis. Methods in Molecular Biology, vol 902. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-61779-934-1_13

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  • DOI: https://doi.org/10.1007/978-1-61779-934-1_13

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  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-61779-933-4

  • Online ISBN: 978-1-61779-934-1

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